Individual provider · Type 1 NPI
Colette Blakely, LCPC
Mental Health Counselor · Chicago, IL
NPI number
1871672337
Active
Practice location
4521 N Mozart St
Chicago, IL 60625-3816
Fax (312) 203-2158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178003235 (IL) |
| Mental Health Counselor Primary | 101YM0800X | 180009264 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1871672337
Colette Blakely, LCPC's National Provider Identifier is 1871672337, issued on Nov 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 8, 2016.